Efficacy of a dilemma-focused intervention for unipolar depression: study protocol for a multicenter randomized controlled trial
Autor: | Feixas, Guillem, Bados, Arturo, García-Grau, Eugeni, Montesano, Adrián, Dada, Gloria, Compañ, Victoria, Aguilera, Mari, Salla, Marta, Soldevilla, Joan, Trujillo, Adriana, Paz, Clara, Botella, Lluís, Corbella, Sergi, Saúl-Gutiérrez, Luis, Cañete, José, Gasol, Miquel, Ibarra, Montserrat, Medeiros-Ferreira, Leticia, Soriano, José, Ribeiro, Eugénia, Caspar, Franz, Winter, David |
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Přispěvatelé: | Universidade do Minho |
Jazyk: | angličtina |
Rok vydání: | 2013 |
Předmět: |
Time Factors
Medicine (miscellaneous) 610 Medicine & health Cognitive therapy Repertory grid Implicative dilemmas Conflict Psychological Study Protocol Clinical Protocols Humans Psicologia [Ciências Sociais] Pharmacology (medical) Personal Construct Theory Psychiatric Status Rating Scales Depressive Disorder Science & Technology Cognitive Behavioral Therapy Depression CORE-OM Cognitive conflicts Treatment Outcome Spain Research Design Personal constructs Ciências Sociais::Psicologia Psychotherapy Group Randomized clinical trial 150 Psychology |
Zdroj: | Repositório Científico de Acesso Aberto de Portugal Repositório Científico de Acesso Aberto de Portugal (RCAAP) instacron:RCAAP Trials r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau instname Feixas, Guillem; Bados, Arturo; Garcia-Grau, Eugeni; Montesano, Adrian; Dada, Gloria; Compan, Vicotria; Aguilera, Mari; Salla, Marta; Soldevilla, Joan Miquel; Trujillo, Adriana; Paz, Clara; Botella, Lluis; Corbella, Sergi; Saul-Gutierrez, Luis Angel; Canete, José; Gasol, Miquel; Ibarra, Montserrat; Medeiros-Ferreira, Leticia; Soriano, José; Ribeiro, Eugénia; ... (2013). Efficacy of a dilemma-focused intervention for unipolar depression: study protocol for a multicenter randomized controlled trial. Trials, 14(144), pp. 1-21. BioMed Central 10.1186/1745-6215-14-144 |
ISSN: | 1745-6215 |
DOI: | 10.1186/1745-6215-14-144 |
Popis: | Depression is one of the more severe and serious health problems because of its morbidity, disabling effects and for its societal and economic burden. Despite the variety of existing pharmacological and psychological treatments, most of the cases evolve with only partial remission, relapse and recurrence.Cognitive models have contributed significantly to the understanding of unipolar depression and its psychological treatment. However, success is only partial and many authors affirm the need to improve those models and also the treatment programs derived from them. One of the issues that requires further elaboration is the difficulty these patients experience in responding to treatment and in maintaining therapeutic gains across time without relapse or recurrence. Our research group has been working on the notion of cognitive conflict viewed as personal dilemmas according to personal construct theory. We use a novel method for identifying those conflicts using the repertory grid technique (RGT). Preliminary results with depressive patients show that about 90% of them have one or more of those conflicts. This fact might explain the blockage and the difficult progress of these patients, especially the more severe and/or chronic. These results justify the need for specific interventions focused on the resolution of these internal conflicts. This study aims to empirically test the hypothesis that an intervention focused on the dilemma(s) specifically detected for each patient will enhance the efficacy of cognitive behavioral therapy (CBT) for depression. This research project is partially funded by the Ministry of Economy andCompetitiveness (ref. PSI2011-23246, previously Ministry of Science andInnovation). We thank Anna V Pooley for help in English editing of someparts of this manuscript |
Databáze: | OpenAIRE |
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